Clinical Thresholds (Low Priority Procedures – PDF)

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Low Priority Procedures Information Sheet

DERMATOLOGY

T28 Benign Skin Lesion in Secondary Care (updated 2014 – checklist updated May 2016)

• T28 policy 
• T28 checklist

T38 Laser hair removal for excessive hair growth including hirsutism (Mar 2018)

• T38 policy
• T38 checklist

T53 Surgical Revision of Scars (updated September 2016)

• T53 policy
• T53 checklist

T54 Ingrowing Toenail Surgery (updated September 2016)

• T54 policy
• T54 checklist

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ENT

T7a Grommets in Children (updated 2014 – checklist updated August 2016)

• T7a policy
• T7a checklist

T7b Grommets in Adults (updated April 2017)

• T7b policy
• T7b checklist

T13 Tonsillectomy (updated 2014 – checklist updated August 2016)

• T13 policy
• T13 checklist

T46 Pinnaplasty in Children ( updated March 2017 – checklist updated April 2016)

• T46 policy
• T46 checklist

T52 Earwax Removal (updated September 2016)

• T52 policy
• T52 checklist

CS1 Septorhinoplasty

• CS1 policy
• CS1 checklist

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GENERAL SURGERY

T16 Smoking Cessation Prior to Routine Elective Surgery

• T16 policy

T32 Surgical Treatment of Hernias (updated April 2017)

• T32 policy
• T32 checklist

T37 Treatment of Benign Perianal Skin Lesions in Secondary Care (updated April 2017)

• T37 policy
• T37 checklist

T50 Haemorrhoidectomy (updated September 2016)

• T50 policy
• T50 checklist

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GYNAECOLOGY

T14 Management of Menstrual Bleeding – Hysteroscopy and Hysterectomy (updated April 2017)

• T14 policy
• T14 checklist

T26 Female Surgical Interval Tubal Sterilisation (updated April 2017)

• T26 policy
• T26 checklist

T31 Surgery for Female Urinary Incontinence and Symptomatic Pelvic Organ Prolapse (updated April 2017)

• T31 policy
• T31 checklist

T33 Labiaplasty (updated 2014 – chceklist updated May 2016)

• T33 policy
• T33 checklist

T34 Subfertility treatment in secondary care (updated April 2017)

• T34 policy
• T34 checklist
• IHT Initial Fertility Monitoring Unit Referral Form

T36 Uterine Artery Embolisation in the Non-Operative Treatment of Fibroids (updated May 2015 – checklist updated May 2016)

• T36 policy
• T36 checklist

T39 Fertility (updated 2014)

• T39 policy

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UROLOGY

T8 Male Circumcision (updated August 2016)

• T8 policy
• T8 checklist

T12 Vasectomies under General Anaesthetic (updated April 2017)

• T12 policy
• T12 checklist

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OPHTHALMOLOGY

T11 Cataract Surgery (updated 2014 – checklist updated May 2016)

• T11 policy
• T11 checklist

T20 Upper Eyelid Functional Blepharoplasty (updated April 2017)

• T20 policy
• T20 checklist

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ORTHOPAEDICS

T9 Common Hand Conditions (updated August 2016)

• T9 Common Hand Conditions – Dupuytrens policy
• T9 Common Hand Conditions – Ganglions policy
• T9 Common Hand Conditions – Trigger Finger policy
• T9 Common Hand Conditions – Dupuytrens checklist
• T9 Common Hand Conditions – Ganglions checklist
• T9 Common Hand Conditions – Trigger Finger checklist

T9a Carpal Tunnel Syndrome (updated August 2016)

• T9a policy
• T9a checklist

T18a/T18b Hip and Knee Replacement Surgery Policy (updated April 2017)

• T18a policy
• T18b policy
• T18a checklist
• T18b checklist

T35 Knee Arthroscopy (updated April 2017)

• T35 policy
• T35 checklist

T41 Deformed Great Toe (Bunions) (Mar 2018)

• T41 policy
• T41 checklist

T48 Hip Arthroscopy (updated September 2016)

• T48 policy
• T48 checklist

T49 Shoulder Arthroscopy (updated September 2016)

• T49 policy
• T49 checklist

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PAIN MANAGEMENT (MAY 2015)

T42 Epidural Injections (checklist updated May 2016)

• T42 policy
• T42 checklist

T43 FJ Injections (checklist updated May 2016)

• T43 policy
• T43 checklist

T44 RF Denervation (checklist updated May 2016)

• T44 policy
• T44 checklist

T45 SI Joint Injections (checklist updated May 2016)

• T45 policy
• T45 checklist

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SPINAL SURGERY

T17 Spinal Surgery for Non Acute Lumbar Conditions (updated April 2017)

• T17 policy
• T17 checklist

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VASCULAR

T6 Varicose Vein (updated April 2017)

• T6 policy
• T6 checklist

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Partially Excluded Policies

• Filters & Coloured Lenses for Scotopic Sensitivity Syndrome PE3
• Functional Electrical Stimulation for Drop Foot of Central Neurological Origin PE101
• Botox PE102
• Body Contouring PE103
• Tattoo Removal PE104
• Reversal of sterilisation PE105
• Ear Lobe Surgery PE106
• Face lift PE107
• Rhinoplasty PE108
• Breast Augmentation PE109
• Breast Reduction PE110
• Mastopexy (Breast Lift) PE111
• Gynecomastia (idiopathic) PE112
• Gynecomastia (anti-androgens) PE113
• Implant Removal PE114
• Nipple Inversion PE115
• Breast Asymmetry PE116
• PE117 Spinal Surgery
• PE118 Patella Resurfacing
• PE119 Soft palate for Snoring

Individual Funding Request Forms

• Individual funding request panel – Continuing Treatment
• Individual funding request panel – Primary Care
• Individual funding request panel – Secondary Care Form
• Supplimentary information for the completion of Exceptional and Individual Funding Requests

Individual Funding Requests

• Individual Funding Request Policy 04/11/15
• Individual Funding Requests Guide Jan 2016

Other Policies

• Final Excess Treatment Cost Policy
• Addendum to Excess Treatment Cost
• Excess Treatment Form
• NHS Suffolk policy: Ongoing access to treatment following third party funding including clinical trials
• Patient changing responsible commissioner
• Private NHS Boundaries Policy

Specialised Commissioning Group Policies 

Some very specialised services for Suffolk residents are not commissioned by NHS Suffolk, but by the East of England Specialised Commissioning Group (SCG). The SCG produces and implements commissioning policies for services covered by the national definitions set on behalf of the cluster PCTs in the East of England. These policies can be found at : http://www.eoescg.nhs.uk/Policies.aspx

More information about the SCG and what (and how) they commission is available at http://www.eoescg.nhs.uk/AboutUs/Information_for_GPs.aspx, and they can be contacted on: 01279 666969